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Objective: To evaluate the effect of care bundle on prevention of delirium among elderly patients with hip fractures.
Methods: A prospective randomized case control study was performed for 80 patients (≥65 years) with hip fractures treated surgically according to their ages and the type of fractures from March 1th of 2017 to June 30th of 2017.There were 11 males and 69 females, with the age of (79.3±7.84) years. Confusion assessment method (CAM) was applied to diagnose delirium after surgery, the subjects were randomized divided into experimental group (n=43) and control group (n=37). The parameters next were recorded and analyzed, including age, gender, type of fractures, type of internal instrument, amount of bleeding, time between injured to surgery, time length of operation, type of operation, VAS, incidence of delirium, perioperative complications and adverse events.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| experimental group | Experimental | Care bundle |
|
| control group | No Intervention | routine care |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Care bundle | Other | Care bundle |
|
| Measure | Description | Time Frame |
|---|---|---|
| incidence of delirium among elderly patients with hip fractures | study hypothesis: the incidence of delirium postoperatively in experimental group is lower compared with control group | 3 weeks |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Zhoupu Hospital Shanghai | Shanghai | China |
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| ID | Term |
|---|---|
| D003693 | Delirium |
| D006620 | Hip Fractures |
| ID | Term |
|---|---|
| D003221 | Confusion |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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| ID | Term |
|---|---|
| D064872 | Patient Care Bundles |
| ID | Term |
|---|---|
| D013812 | Therapeutics |
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| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D019965 | Neurocognitive Disorders |
| D001523 | Mental Disorders |
| D005264 | Femoral Fractures |
| D050723 | Fractures, Bone |
| D014947 | Wounds and Injuries |
| D025981 | Hip Injuries |
| D007869 | Leg Injuries |